indigo™ system · indigo system provide rapid restoration of flow to thrombosed vessels in the...
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Department of Diagnostic Imaging, Molecular Imaging, Interventional
Radiology and Radiation Therapy
University Hospital of “Tor Vergata”, Rome
Chairman Prof. Giovanni Simonetti
ENRICO PAMPANA
INDIGO™ SYSTEM Provide rapid restoration of flow to thrombosed
vessels in the peripheral vasculature introducing the
largest extraction lumen designed for BTK vessels
LUNCH SYMPOSIUM supported by PENUMBRA
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The incidence of distal embolization for peripheral femoro-
popliteal interventions
has been estimated to range from 1% to 100%
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This risk increases according to the
type of lesion:
PTA of stenotic lesions
PTA of Chronic total occlusions
In-stent restenosis/oclusions
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and according to the type of treatment /
maneuvers:
Angioplasty
Stent deployment
Debulking and atherectomy devices
Guidewire crossing
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EPD currently are not designed to hold
thrombotic material detached from long femoral-
popliteal
RISK OF FULLFILLING AND
OVERFLOWING!
IT’S STILL MATTER OF
DEBATE
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Manual Aspiration Thrombectomy
Catheter directed Thrombolysis
Mechanical Thrombectomy
What’s the solution?
• well codified in the femoro-popliteal but
extremely challenging in the BTK
• often not feasible in the below the ankle district
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Penumbra 5 MAX
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Copyright © 2014 Penumbra, Inc. All rights reserved 6899, Rev. E 8
INDIGO™ SYSTEM
PERCUTANEOUS MECHANICAL
THROMBECTOMY
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TM
ENGINEERED FOR
PERIPHERAL ARTERIES
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INDIGO™ SYSTEM
SPECIFICATIONS
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high trackability and
pushability
Its polymer and a new nitinol reinforcement design at the distal tip,
enables to track it through tortuous vessels leading to a target lesion in
the brain or in the distal peripheral district
Larger proximal diameters enabling to achieve rapid reperfusion times once
they are connected to the dedicated Penumbra pump for continuous
vacuum aspiration for the entire duration of the thrombectomy procedure
Possibility to move
it backward and
foreward during the
thromboaspiration
With or without
0.014” guidewire
in place
INDIGO™ SYSTEM Percutaneous Mechanical
Thrombectomy
CAT5CAT3
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MAX™ Pump
INDIGO™ SYSTEM
Percutaneous Mechanical
Thrombectomy
• Simple and Effective – Easy-to-use
– Single operator design
– Pure vacuum
– Hands free aspiration assistance
– No time limits
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Powerful MAX™ Pump
1. Data on file at Penumbra, Inc. based on testing with CAT5.
2. Vascular Solutions, Inc. Comparison of dimensions and aspiration rate of the Pronto® V3, Pronto® LP, Export® XT, Export® AP, Fetch®, Xtract™, Diver C.E.™ and QuickCat™ catheters.
http://www.aquilantinterventional.com/assets/aquilantinterventional/Products/brochures/871027/ML1623_rev_F_Pronto_V3_Extraction_Lumen_Comparison.pdf. Published December 2009, Accessed March 13,
2014.
• Hands-free aspiration
• Maximized power
• Continuous Suction
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Case 1 (4 MAX)
83 yrs old man
Comorbidities: dyslipidemia and cardiopulmonary
insufficiency
Clinical data: previous SFA stenting, antiplatelet
interruption 30 days before
Current symptoms: progressive claudication to rest pain
in the previous days
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A B C
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A B
C D
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Case 2 (3 MAX)
70 yrs old man
Comorbidities: dyslipidemia and a 12 years history of type
2 diabetes mellitus
TEXAS II B. Non-healing ulcer on the forefoot
TcpO2: 13 mmhg
TcpCO2: 52 mmhg
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Case 2
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Case 2
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Case 2
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Case 2
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Case 2
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Case 3 (3 MAX)
88 yrs old woman
Comorbidities: history of diabetes and chronic renal failure
TEXAS III B. Non-healing calcaneal ulcer
TcpO2: 8 mmhg TcpCO2: 64 mmhg
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Case 3
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Case 3
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Case 3
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After 2 months TcpO2: 60 mmhg
Case 3
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Case 4 (3 MAX)
73 yrs old man
Comorbidities: history of hypertension and dyslipidemia, with a
previous amputation of 4th and 5th toes
TEXAS III D Non-healing infected
ulcer on the forefoot
TcpO2: 6 mmhg
TcpCO2: 59 mmhg
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OVER THE WIRE
ASPIRATION
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MAX™ Pump
CAT5CAT3
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THANK YOU!
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Department of Diagnostic Imaging, Molecular Imaging, Interventional
Radiology and Radiation Therapy
University Hospital of “Tor Vergata”, Rome
Chairman Prof. Giovanni Simonetti
ENRICO PAMPANA
INDIGO™ SYSTEM Provide rapid restoration of flow to thrombosed
vessels in the peripheral vasculature introducing the
largest extraction lumen designed for BTK vessels
LUNCH SYMPOSIUM supported by PENUMBRA